Culprit-lesion-only primary PCI was successfully performed in a young patient with STEMI and cardiogenic shock during the COVID-19 pandemic, aligning with current guidelines.
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Alerts clinicians to possible ACS in exposed young workers; leaves open any causal link to COVID-19 exposure.
A-36-year-old physician assigned in caring patients with COVID-19 infection had severe chest pain and cardiogenic shock due to acute coronary syndrome. ECG was suggestive of acute inferior myocardial infarction. After getting negative result for COVID-19, primary percutaneous coronary intervention (PCI) was done. Stent was inserted to the culprit lesion, occluded proximal part of right coronary artery, within 120 minutes. The non-culprit lesion, occluded distal part of left anterior descending artery, was left for staged revascularization. After the procedure, he was symptom free and the blood pressure became normal.
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Pyar et al. (2020) studied this question.
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